Ms Jacqueline Pandolfi, NP in Port Jefferson Station, NY

Ms Jacqueline Pandolfi, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Port Jefferson Station, New York. She graduated from nursing school in 1995 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Square Care Medical Group Llp and her current practice location is 12 Medical Dr, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at (631) 331-4400.

Ms Jacqueline Pandolfi is licensed to practice in New York (license number 388956-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225197866.

Contact Information

	Ms Jacqueline Pandolfi, NP
	12 Medical Dr, Port Jefferson Station, NY 11776-1588
	(631) 331-4400
	(631) 331-3190

Map and Direction

Provider's Profile

Full Name	Ms Jacqueline Pandolfi
Gender	Female
Speciality	Nurse Practitioner
Experience	30 Years
Location	12 Medical Dr, Port Jefferson Station, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Jacqueline Pandolfi graduated from nursing school in 1995

NPI Data:

NPI Number: 1225197866
Provider Enumeration Date: 12/08/2006
Last Update Date: 01/14/2021

Medicare PECOS Information:

PECOS PAC ID: 6507840428
Enrollment ID: I20040616001583

Medical Identifiers

Medical identifiers for Ms Jacqueline Pandolfi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225197866	NPI	-	NPPES
388956	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	388956-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John T Mather Memorial Hospital Of Port Jefferson	Port jefferson, NY	Hospital
Suny/stony Brook University Hospital	Stony brook, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Square Care Medical Group Llp	7012938434	56

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Jacqueline Pandolfi allows following entities to bill medicare on her behalf.

Entity Name	Square Care Medical Group Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457392763 PECOS PAC ID: 7012938434 Enrollment ID: O20051220000236

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jacqueline Pandolfi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Jacqueline Pandolfi, NP 900 Merchants Concourse Ste 216, Westbury, NY 11590-5114 Ph: (516) 226-8373	Ms Jacqueline Pandolfi, NP 12 Medical Dr, Port Jefferson Station, NY 11776-1588 Ph: (631) 331-4400

Reviews and Comments

Nurse Practitioner Nurses in Port Jefferson Station, NY

Gia Aslanidis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1404 Sara Cir, Port Jefferson Station, NY 11776 Phone: 516-563-1147
Uma Narayana, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7200
Jaime Draghi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49 Rte 347, Port Jefferson Station, NY 11776 Phone: 631-751-3000
Marina Dillon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson Station, NY 11777 Phone: 631-805-2150
Lori Jean Conlin, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 316-897-8006 Fax: 631-751-0506
Ruth Bochat, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Jarvin Rd, Port Jefferson Station, NY 11776 Phone: 929-429-6861
Mrs. Julie Ann Pablo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 126 Greenhaven Dr, Port Jefferson Station, NY 11776 Phone: 631-240-9833

Ms Jacqueline Pandolfi, NP - Medicare Nurse Practitioner in Port Jefferson Station, NY